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Question: Does Medicare allow CPT code 22630 (Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace [other than for decompression], single intersp... More

NPP Report

Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More

Benchmark of the Week

Office or other outpatient E/M visits will be among the codes that fare the best under the projected conversion factor cut that CMS released with the proposed 2025 Medicare physician fee schedule. H... More

Ask a Part B News Expert

Question: Does Medicare allow CPT code 22630 (Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace [other than for decompression], single intersp... More

NPP Report

Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More

Benchmark of the Week

Office or other outpatient E/M visits will be among the codes that fare the best under the projected conversion factor cut that CMS released with the proposed 2025 Medicare physician fee schedule. H... More

Breaking: Part B fees under fire, as CMS redesigns policy, coverage rules in proposed 2025 PFS

by: DecisionHealth Staff

Sneak preview: 4 highlights from the proposed 2025 Medicare physician fee schedule

by: Julia Kyles, CPC

Encounter for sepsis aftercare code finalized as part of FY2025 ICD-10-CM code update

by: Megan Herr

Give providers an illustrated guide to the new SDOH risk assessment code

Make sure your physicians and qualified health care professionals (QHP) are ready for their crucial role in reporting G0136 (Administration of a standardized, evidence-based Social Determinants of Health [SDOH] Risk Assessment tool, 5-15 minutes, not more often than every 6 months).

Cultivate Medicare prolonged service rule compliance with a decision tree

Use this decision tree to illustrate Medicare’s rules for coding prolonged E/M services. Medicare created codes and rules for prolonged services performed by a physician or qualified health care professional (QHP) because it disagrees with portions of the CPT guidelines.

Impact of the projected conversion factor cut will vary across services

Office or other outpatient E/M visits will be among the codes that fare the best under the projected conversion factor cut that CMS released with the proposed 2025 Medicare physician fee schedule. High-volume eye care codes will see the biggest drops next year.

Caregiver training featured among new HCPCS codes

CMS seeks to maintain a focus on behavioral health management, debuting a range of new HCPCS codes that, should they become finalized, would add a bevy of new billing opportunities for Part B providers come Jan. 1, 2025.

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Advanced Specialty Coding Virtual Summit: Orthopedics

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Advanced Specialty Coding Virtual Summit: Pain Management

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